Maryellen Cucuzzo, NURSE PRACTITIONER

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

F421100-1 Issued in NY

Practice address

600 Suffolk Ave Ste C
Brentwood, NY 11717-4311

Phone

(631) 273-3712

Fax

(631) 273-3745

NPI assigned

Jul 15, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joseph Xerri MD PLLC

  • Obstetrics & Gynecology Physician
  • Brentwood, NY
  • NPI 1336361831
  NPD (past)
• Veritas Medical Care LLC

  • Obstetrics & Gynecology Physician
  • Brentwood, NY
  • NPI 1790436707
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1003257320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SINGINGWOOD DR",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117413024",
            "telephone_number": "631-472-4435",
            "fax_number": "631-472-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SUFFOLK AVE STE C",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174311",
            "telephone_number": "631-273-3712",
            "fax_number": "631-273-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUCUZZO",
        "first_name": "MARYELLEN",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F421100-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Cross
• Nydia S Cruz
• Rian Cruz
• Vanesa G Cruz, PA-C
• Jaime Cuartas
• Alyssa Cuellar
• Tiffany Cuellar
• Shanika Cunningham
• Tevin Cunningham
• Rebecca Curran

• Women's Health Nurse Practitioner in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Women's Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.